Front Rush

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General

First Name *

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Last Name *

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Preferred Name *

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Email Address *

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Home Address1 *

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Home Address2

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City *

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State *

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Zip *

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Cell Phone Number *

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Date of Birth *

Open the calendar popup.

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Profile Image

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Are you planning on entering UW-Platteville as a: *

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When do you plan to start at UW-Platteville? *

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What are you thinking of majoring in? *

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Background

Parent/Guardian Name

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Parent/Guardian Phone Number

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Parent/Guardian Email Address

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Parent/Guardian Name 2

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Parent/Guardian Name 2 Phone Number

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Parent/Guardian 2 Email Address

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Academic

Graduation Year *

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High School/College

School Name

Address1

Address2

Address3

City

State

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CEEB Code

the school is not listed above

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GPA

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Other College Choices

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Athletic

Position(s)

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Height

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Personal Contacts

Include any personal contacts you would like to share with this school.These contacts may receive emails, texts or calls for staff at the school.

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Questionnaires